TY - JOUR
T1 - Splenic Artery Embolization after Delayed Splenic Rupture Following Blunt Trauma
T2 - Is Nonoperative Management Still an Option in This Cohort?
AU - Clements, Warren
AU - Mathew, Joseph
AU - Fitzgerald, Mark C.
AU - Koukounaras, Jim
PY - 2021/4
Y1 - 2021/4
N2 - Patients treated with splenic artery embolization (SAE) >48 hours after a blunt injury for a delayed splenic rupture (DSR) were assessed for the need for a subsequent splenectomy. Thirty-four patients underwent SAE for DSR over 10 years at our level 1 trauma center, performed at a median of 4.5 days after the injury (interquartile range = 5.5), and the patients were followed up for a median of 11 months (interquartile range = 31). There were 3 occurrences of rebleeds, and 2 patients required splenectomy (5.9%). This study showed that treatment with SAE after DSR results in splenic salvage in 94.1% of patients.
AB - Patients treated with splenic artery embolization (SAE) >48 hours after a blunt injury for a delayed splenic rupture (DSR) were assessed for the need for a subsequent splenectomy. Thirty-four patients underwent SAE for DSR over 10 years at our level 1 trauma center, performed at a median of 4.5 days after the injury (interquartile range = 5.5), and the patients were followed up for a median of 11 months (interquartile range = 31). There were 3 occurrences of rebleeds, and 2 patients required splenectomy (5.9%). This study showed that treatment with SAE after DSR results in splenic salvage in 94.1% of patients.
UR - http://www.scopus.com/inward/record.url?scp=85100617614&partnerID=8YFLogxK
U2 - 10.1016/j.jvir.2020.10.011
DO - 10.1016/j.jvir.2020.10.011
M3 - Article
C2 - 33551305
AN - SCOPUS:85100617614
SN - 1051-0443
VL - 32
SP - 586
EP - 592
JO - Journal of Vascular and Interventional Radiology
JF - Journal of Vascular and Interventional Radiology
IS - 4
ER -